Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $602.56 / $7,943.28	Facility		$489.78	$602.56	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $457.09 / $602.56	Professional		$346.74	$457.09	$602.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $436.52 / $831.76	Facility		$288.40	$436.52	$831.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $467.74 / $478.63	Facility		$371.54	$467.74	$478.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $363.08 / $588.84	Facility		$257.04	$363.08	$588.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,456.54 / $7,762.47	Facility		$5,011.87	$6,456.54	$7,762.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,120.11 / $12,882.50	Facility		$1,995.26	$9,120.11	$12,882.50